Health transition in middle-income countries: New challenges for health care

Julio Frenk, J. L. Bobadilla, J. Sepulveda, M. Lopez Cervantes

Research output: Contribution to journalArticle

197 Citations (Scopus)

Abstract

Concepts behind current health systems are no longer adequate for dealing with the growing complexity of the health arena, both internationally and nationally. It is now too simplistic to classify world health in bipolar terms, such as East versus West, or North versus South. Conversely, epidemiologic differentiation within each country is now producing internal polarization: diminishing health care budgets may increase competition for scarce resources between two different groups of health problems - the left-over ills, caused mainly by common infectious diseases and malnutrition; and the emerging threats of chronic ailments, accidents, mental disorders, and now AIDS. In this situation, the former group is likely to lose out. It is imperative to avoid this pernicious competition by developing new health care models that assume a population-based responsibility. Unless comprehensive and cost-effective solutions to the two groups of health problems are provided simultaneously we risk an unacceptable paradox: instead of being an instrument for equity, health services may serve to increase social inequality.

Original languageEnglish (US)
Pages (from-to)29-39
Number of pages11
JournalHealth Policy and Planning
Volume4
Issue number1
StatePublished - 1989
Externally publishedYes

Fingerprint

Health Transition
Health care
Healthcare
Health
health care
Delivery of Health Care
income
Medical problems
health
Budgets
Mental Disorders
Malnutrition
Health Services
Group
Diminishing
Accidents
Communicable Diseases
Infectious Diseases
Equity
mental disorder

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Physiology (medical)
  • Physiology
  • Education

Cite this

Frenk, J., Bobadilla, J. L., Sepulveda, J., & Lopez Cervantes, M. (1989). Health transition in middle-income countries: New challenges for health care. Health Policy and Planning, 4(1), 29-39.

Health transition in middle-income countries : New challenges for health care. / Frenk, Julio; Bobadilla, J. L.; Sepulveda, J.; Lopez Cervantes, M.

In: Health Policy and Planning, Vol. 4, No. 1, 1989, p. 29-39.

Research output: Contribution to journalArticle

Frenk, J, Bobadilla, JL, Sepulveda, J & Lopez Cervantes, M 1989, 'Health transition in middle-income countries: New challenges for health care', Health Policy and Planning, vol. 4, no. 1, pp. 29-39.
Frenk, Julio ; Bobadilla, J. L. ; Sepulveda, J. ; Lopez Cervantes, M. / Health transition in middle-income countries : New challenges for health care. In: Health Policy and Planning. 1989 ; Vol. 4, No. 1. pp. 29-39.
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